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Fournier's gangrene: the need for early recognition and radical surgical débridement.
Neth J Surg. 1991 Oct; 43(5):184-8.NJ

Abstract

Fournier's gangrene, a specific form of necrotizing fasciitis, predominantly affects the male genitals, perineum and perianal region. Most frequently Fournier's gangrene is caused by the synergistic action of aerobic and anaerobic microorganisms and leads to early septicaemia with a high mortality. The case histories of three patients with Fournier's gangrene are presented to illustrate the importance of early recognition and radical surgical débridement as essential objectives for therapeutic success. In the first patient, who died of Fournier's gangrene after a vasectomy, appropriate therapy was significantly delayed due to late recognition of the condition. The second patient presented with a rapidly progressive fasciitis secondary to a perianal abscess; immediate excision of all necrotic tissue was successfully performed. The third patient developed gangrene from an urogenital infectious focus, which was primarily treated by insufficient incisional and drainage therapy. Only after radical débridement his general condition rapidly improved.

Authors+Show Affiliations

Department of General Surgery, University Hospital Dijkzigt, Erasmus University, Rotterdam, The Netherlands.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

1787906

Citation

de Roos, W K., et al. "Fournier's Gangrene: the Need for Early Recognition and Radical Surgical Débridement." The Netherlands Journal of Surgery, vol. 43, no. 5, 1991, pp. 184-8.
de Roos WK, van Lanschot JJ, Bruining HA. Fournier's gangrene: the need for early recognition and radical surgical débridement. Neth J Surg. 1991;43(5):184-8.
de Roos, W. K., van Lanschot, J. J., & Bruining, H. A. (1991). Fournier's gangrene: the need for early recognition and radical surgical débridement. The Netherlands Journal of Surgery, 43(5), 184-8.
de Roos WK, van Lanschot JJ, Bruining HA. Fournier's Gangrene: the Need for Early Recognition and Radical Surgical Débridement. Neth J Surg. 1991;43(5):184-8. PubMed PMID: 1787906.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fournier's gangrene: the need for early recognition and radical surgical débridement. AU - de Roos,W K, AU - van Lanschot,J J, AU - Bruining,H A, PY - 1991/10/1/pubmed PY - 1991/10/1/medline PY - 1991/10/1/entrez SP - 184 EP - 8 JF - The Netherlands journal of surgery JO - Neth J Surg VL - 43 IS - 5 N2 - Fournier's gangrene, a specific form of necrotizing fasciitis, predominantly affects the male genitals, perineum and perianal region. Most frequently Fournier's gangrene is caused by the synergistic action of aerobic and anaerobic microorganisms and leads to early septicaemia with a high mortality. The case histories of three patients with Fournier's gangrene are presented to illustrate the importance of early recognition and radical surgical débridement as essential objectives for therapeutic success. In the first patient, who died of Fournier's gangrene after a vasectomy, appropriate therapy was significantly delayed due to late recognition of the condition. The second patient presented with a rapidly progressive fasciitis secondary to a perianal abscess; immediate excision of all necrotic tissue was successfully performed. The third patient developed gangrene from an urogenital infectious focus, which was primarily treated by insufficient incisional and drainage therapy. Only after radical débridement his general condition rapidly improved. SN - 0167-2487 UR - https://www.unboundmedicine.com/medline/citation/1787906/Fournier's_gangrene:_the_need_for_early_recognition_and_radical_surgical_débridement_ DB - PRIME DP - Unbound Medicine ER -